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Organization
INDIVIDUAL EMPOWERMENT SERVICES
Active
Organization
INDIVIDUAL EMPOWERMENT SERVICES
Active
Other names
Individual Empowerment Services
Organization subpart
No
Provider details
NPI number
Authorized official
SIA SUMANA MSN, BSN, RN (OWNER)
(703) 946-7797
Entity
Organization
Contact information
Practice address
7915 FRYE RD, ALEXANDRIA, VA 22309-1101
(703) 946-7797
Mailing address
7915 FRYE RD, ALEXANDRIA, VA 22309-1101
(703) 946-7797
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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